Patient Service Rep/Precertification Specialist - University GYN Oncology na University Physicians' Association

Description

Position Overview

The Patient Service Representative / Precertification Specialist plays a vital role in supporting patient care and clinic operations. This position involves scheduling appointments, managing authorizations, patient check-in, and ensuring smooth communication between patients, providers, and administrative teams.

Key Responsibilities

Scheduling & Coordination

• Schedule follow-up visits, chemotherapy, labs, and new patient appointments.
• Manage multi-patient task lists and oncology future orders.
• Create encounters and follow up with no-show patients.
• Scan and upload patient documents into Cerner.

Precertification & Billing Support

• Obtain prior authorizations for chemotherapy, scans, and medications.
• Ensure chemotherapy orders are printed and authorized at least two days before infusion.
• Coordinate referrals and notify patients of scheduled tests.
• Support billing processes including Good Faith Estimates and FMLA paperwork.

Patient Interaction & Check-In

• Greet patients warmly and professionally.
• Collect copays and verify insurance, contact details, and registration forms.
• Register patients in Intergy and Cerner with accuracy.
• Maintain confidentiality and privacy standards.

Phone & Message Management

• Answer calls promptly (within 3 rings).
• Return patient messages within 24 hours via Powerchart.
• Assist with triage and direct calls appropriately.

New Patient Referrals

• Complete blue referral forms and schedule appointments within 5–7 days for known      cancer diagnoses.
• Request records from referring providers and coordinate with Nurse Navigators.
• Create patient profiles in Cerner and Intergy.

Professional Expectations

Customer Service

• Exhibit a positive attitude and professional demeanor.
• Partner with patients and families in care planning.
• Respect confidentiality and respond to concerns promptly.

Communication & Teamwork

• Maintain clear, concise verbal and written communication.
• Foster ethical and therapeutic relationships with patients and staff.
• Collaborate with team members to ensure clinic efficiency.

Operational Standards

• Arrive by 7:45 AM on clinic days.
• Maintain a clean and organized workspace.
• Train assistants and floaters on clinic procedures.
• Ensure= all clinics run smoothly to support excellent patient care.

Requirements

Essential Skills & Abilities

• Ability to work in high-stress environments and make quick decisions.
• Strong problem-solving and customer service skills.
• Competency in physical assessments and medical documentation.
• Ability to maintain composure and confidentiality.
• Professional, compassionate attitude toward patients and colleagues.

Qualifications

• High school diploma or equivalent required.
• 1–2 years of experience in a hospital or clinical setting preferred.
• Ability to meet performance expectations within 4–6 months of hire.